Comparing the Effectiveness of Acceptance and Commitment Therapy and Mindfulness-Based cognitive Therapy on Life Expectancy and Quality of Life in Coronary Heart Disease Patients with Hypertension
Downloads
Objective: Cardiovascular diseases stand as the leading cause of mortality and hospital admissions globally. This study aimed to compare the effectiveness of Acceptance and Commitment Therapy (ACT) and Mindfulness-Based Cognitive Therapy (MBCT) on the life expectancy and quality of life among patients with coronary heart disease and hypertension referred to Shahid Rajaei Hospital.
Methods and Materials: This study was a semi-experimental type with pre-test, post-test and 3-month follow-up with a control group. The statistical population encompassed all individuals diagnosed with coronary heart disease and high blood pressure in Tehran during the period of 2022-2023. From this population, 45 patients were selected through purposive sampling methods and subsequently randomized into two experimental groups and one control group. Data collection utilized the Life Expectancy Scale by Snyder et al. (1991) and the Quality of Life of Heart Failure Patients questionnaire developed by Minnesota Recto et al. (1984). For data analysis, repeated measures analysis of variance was employed, utilizing SPSS-26 software.
Findings: The findings indicated that Acceptance and Commitment Therapy (ACT) and Mindfulness-Based Cognitive Therapy (MBCT) were effective in improving the life expectancy and quality of life of patients with coronary heart disease and hypertension (P<0.05). Furthermore, the results revealed no significant difference in the effectiveness of the two therapeutic interventions, ACT and MBCT, on the life expectancy and quality of life of patients with coronary heart disease and hypertension.
Conclusion: In conclusion, the lack of significant difference in effectiveness between the two interventions suggests that both can be valuable options for individuals seeking to improve their health outcomes in this population. Further research may be warranted to explore potential differences in long-term outcomes or to identify which intervention may be best suited for specific patient populations.
Downloads
Afshar Shandiz, H. (2023). Comparing the effectiveness of mindfulness-based cognitive therapy (MBCT) and short-term solution-oriented therapy as complementary treatments with drug therapy in improving the quality of life of patients with multiple sclerosis (MS) https://ganj.irandoc.ac.ir/#/articles/d6a72d87da1fa3f975e51e6283fd9aaa
Afshinpoor, F., Khorami, N. S., & Nabavi, S. A. (2018). The effectiveness of acceptance and commitment therapy on anxiety and quality of life in patients with non-cardiac chest pain. Journal of Cognitive Psychology and Psychiatry, 8(5), 68-56. https://doi.org/10.32598/shenakht.8.5.56
Buckner, J. D., Lewis, E. M., Abarno, C. N., & Heimberg, R. G. (2020). Mindfulness training for clinically elevated social anxiety: the impact on peak drinking. Addictive behaviors, 104, 106282. https://doi.org/10.1016/j.addbeh.2019.106282
Carvalho, S. A., Gillanders, D., Forte, T., Trindade, I. A., Pinto-Gouveia, J., Lapa, T., Valentim, A., Santos, E., Paciência, J., & Guiomar, R. (2022). Self-compassion in acceptance and commitment therapy for chronic pain: a pilot study. Scandinavian Journal of Pain, 22(3), 631-638. https://doi.org/10.1515/sjpain-2021-0214
Chow, S. C. (2011). Sample size calculations for clinical trials. Wiley interdisciplinary reviews: Computational statistics, 3(5), 414-427. https://doi.org/10.1002/wics.155
Colle, K. F. F., Vincent, A., Cha, S. S., Loehrer, L. L., Bauer, B. A., & Wahner-Roedler, D. L. (2010). Measurement of quality of life and participant experience with the mindfulness-based stress reduction program. Complementary Therapies in Clinical Practice, 16(1), 36-40. https://doi.org/10.1016/j.ctcp.2009.06.008
Crowe, E., Staiger, P. K., Bowe, S. J., Rehm, I., Moulding, R., Herrick, C., & Hallford, D. J. (2023). The association between trichotillomania symptoms and emotion regulation difficulties: A systematic review and meta-analysis. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2023.11.010
Darfashi, B. (2015). The effectiveness of cognitive therapy based on mindfulness on feelings of loneliness, psychological well-being and parenting practices of divorced mothers. Master's thesis https://ganj.irandoc.ac.ir/#/articles/39c735d5aff19a95184386e909fb50e3
Davoudi-Monfared, E., Radfar, S., Mohseny, M., & Hosseini-Dastjerdi, Z. S. (2023). The Relationship between Coping Strategies and Quality of Life in Women with Breast Cancer : Coping strategies and QOL in women with breast cancer. International Journal of Body, Mind and Culture, 10(2), 198-206. https://doi.org/10.22122/ijbmc.v10i2.402
Donisi, V., Poli, S., Berti, L., Gobbin, F., Giusto, G., Capurso, M., Gagliani, M., Campo, A., Presti, G., & Deledda, G. (2024). Combining acceptance and commitment therapy with adventure therapy to face vulnerability: Examples and insights from a sailing experience. Journal of Contextual Behavioral Science, 100759. https://doi.org/10.1016/j.jcbs.2024.100759
Frostadottir, A. D., & Dorjee, D. (2019). Effects of mindfulness based cognitive therapy (MBCT) and compassion focused therapy (CFT) on symptom change, mindfulness, self-compassion, and rumination in clients with depression, anxiety, and stress. Frontiers in Psychology, 10, 422491. https://doi.org/10.3389/fpsyg.2019.01099
Gallego, A., Serrat, M., Royuela-Colomer, E., Sanabria-Mazo, J. P., Borràs, X., Esteve, M., Grasa, M., Rosa, A., Rozadilla-Sacanell, A., & Almirall, M. (2024). Study protocol for a three-arm randomized controlled trial investigating the effectiveness, cost-utility, and physiological effects of a fully self-guided digital Acceptance and Commitment Therapy for Spanish patients with fibromyalgia. Digital Health, 10, 20552076241239177. https://doi.org/10.1177/20552076241239177
Garagoun, S. N., Mousavi, S. M., Shabahang, R., & Bagheri, F. (2021). The effectiveness of mindfulness-based stress reduction intervention on resilience and life expectancy of gastrointestinal cancers patients. Iranian Journal of Psychiatric Nursing (IJPN) Original Article, 9(2). https://ijpn.ir/browse.php?a_id=1759&sid=1&slc_lang=fa
Gómez, L. E., Morán, M. L., Navas, P., Verdugo, M. Á., Schalock, R. L., Lombardi, M., Vicente, E., Guillén, V. M., Balboni, G., & Swerts, C. (2024). Using the quality of life framework to operationalize and assess the CRPD articles and the Sustainable Development Goals. Journal of Policy and Practice in Intellectual Disabilities, 21(1), e12470. https://doi.org/10.1111/jppi.12470
Graham, C. D., Gouick, J., Krahé, C., & Gillanders, D. (2016). A systematic review of the use of Acceptance and Commitment Therapy (ACT) in chronic disease and long-term conditions. Clinical Psychology Review, 46, 46-58. https://doi.org/10.1016/j.cpr.2016.04.009
Haji-Adineh, S., Farzanfar, A., Salehi-Morekani, S., Vahidi, M., & Kalhornia-Golkar, M. (2019). The Effectiveness of Mindfulness-Based Cognitive Therapy on Life Expectancy and Depression in Patients with Multiple Sclerosis. International Journal of Body, Mind and Culture, 6(2), 79-86. https://doi.org/10.22122/ijbmc.v6i2.160
Hasani Dehghani, M. (2020). Investigating the effectiveness of treatment based on acceptance and commitment on stress, anxiety and depression in patients with hypothyroidism in Bandar Abbas city. Master's thesis https://ganj.irandoc.ac.ir/#/articles/41ff2d9055bde57968d18039c6b7c2a8/search/061e70fbe4bec174eb6d711e90903d91
Hu, R., Li, G., Liu, A., & Chen, J. L. (2024). Emerging research trends on residents’ quality of life in the context of tourism development. Journal of Hospitality & Tourism Research, 48(1), 131-152. https://doi.org/10.1177/10963480221081382
Huang, B.-H., del Pozo Cruz, B., Teixeira-Pinto, A., Cistulli, P. A., & Stamatakis, E. (2023). Influence of poor sleep on cardiovascular disease-free life expectancy: a multi-resource-based population cohort study. BMC medicine, 21(1), 75. https://doi.org/10.1186/s12916-023-02732-x
Iturbe, I., Echeburúa, E., & Maiz, E. (2022). The effectiveness of acceptance and commitment therapy upon weight management and psychological well‐being of adults with overweight or obesity: A systematic review. Clinical Psychology & Psychotherapy, 29(3), 837-856. https://doi.org/10.1002/cpp.2695
Jha, M. K., Qamar, A., Vaduganathan, M., Charney, D. S., & Murrough, J. W. (2019). Screening and management of depression in patients with cardiovascular disease: JACC state-of-the-art review. Journal of the American College of Cardiology, 73(14), 1827-1845. https://doi.org/10.1016/j.jacc.2019.01.041
Kang, Q., & Luo, A. (2022). The efficacy of mindfulness-based intervention for heart diseases: A meta-analysis of randomized controlled trials. Medicine, 101(39), e29649. https://doi.org/10.1097/MD.0000000000029649
Kim, H. S., Kim, H. K., Kang, K. O., & Kim, Y. S. (2019). Determinants of health‐related quality of life among outpatients with acute coronary artery disease after percutaneous coronary intervention. Japan Journal of Nursing Science, 16(1), 3-16. https://doi.org/10.1111/jjns.12209
Levin, M. E., Krafft, J., & Twohig, M. P. (2024). An Overview of Research on Acceptance and Commitment Therapy. Psychiatric Clinics. https://doi.org/10.1016/j.psc.2024.02.007
Li, Y., Schoufour, J., Wang, D. D., Dhana, K., Pan, A., Liu, X., Song, M., Liu, G., Shin, H. J., & Sun, Q. (2020). Healthy lifestyle and life expectancy free of cancer, cardiovascular disease, and type 2 diabetes: prospective cohort study. BMJ, 368. https://doi.org/10.1136/bmj.l6669
Liang, H., Luo, S., Chen, X., Lu, Y., Liu, Z., & Wei, L. (2020). Effects of Tai Chi exercise on cardiovascular disease risk factors and quality of life in adults with essential hypertension: A meta-analysis. Heart & Lung, 49(4), 353-363. https://doi.org/10.1016/j.hrtlng.2020.02.041
Ma, H., Wang, X., Xue, Q., Li, X., Liang, Z., Heianza, Y., Franco, O. H., & Qi, L. (2023). Cardiovascular health and life expectancy among adults in the United States. Circulation, 147(15), 1137-1146. https://doi.org/10.1161/CIRCULATIONAHA.122.062457
Mehdizadeh, A. (2023). The effectiveness of mindfulness-based therapy on emotion regulation, health anxiety and quality of life of people who have recovered from corona disease. Master's thesis https://ganj.irandoc.ac.ir/#/articles/7e2b1e033afa4b4d7325c524ddcb581e/search/5ffca58e08d330c670fcb05dfbc87873
Mohammadi, S., Fattahi, A., Jaberghaderi, N., Kheirabadi, Z., & Bakhtiari, M. (2022). The effectiveness of acceptance and commitment therapy (ACT) on sleep quality and quality of life of patients with cardiovascular problems [Research]. Shenakht Journal of Psychology and Psychiatry, 9(3), 85-96. https://doi.org/10.32598/shenakht.9.3.85
Moradi, M., Daneshi, F., Behzadmehr, R., Rafiemanesh, H., Bouya, S., & Raeisi, M. (2020). Quality of life of chronic heart failure patients: a systematic review and meta-analysis. Heart failure reviews, 25, 993-1006. https://doi.org/10.1007/s10741-019-09890-2
Nicolescu, S., Secară, E.-C., Jiboc, N. M., & Băban, A. (2024). Oncovox: A randomised controlled trial of a web-based acceptance and commitment therapy for breast cancer patients. Journal of Contextual Behavioral Science, 32, 100729. https://doi.org/10.1016/j.jcbs.2024.100729
Oreel, T. H., Borsboom, D., Epskamp, S., Hartog, I. D., Netjes, J. E., Nieuwkerk, P. T., Henriques, J. P., Scherer-Rath, M., van Laarhoven, H. W., & Sprangers, M. A. (2019). The dynamics in health-related quality of life of patients with stable coronary artery disease were revealed: A network analysis. Journal of clinical epidemiology, 107, 116-123. https://doi.org/10.1016/j.jclinepi.2018.11.022
Patel, N., Greene, N., Guynn, N., Sharma, A., Toleva, O., & Mehta, P. (2024). Ischemia but no obstructive coronary artery disease: more than meets the eye. Climacteric, 27(1), 22-31. https://doi.org/10.1080/13697137.2023.2281933
Rahmani, M., Omidi, A., & Rahmani, F. (2018). The Effect of Unified Therapy on Quality of Life in Patients with Eating Disorder. International Journal of Body, Mind and Culture, 5(1), 39-45. https://doi.org/10.22122/ijbmc.v5i1.115
Rubino, F., Pompei, G., Brugaletta, S., Collet, C., & Kunadian, V. (2024). The role of physiology in the contemporary management of coronary artery disease. Heart, 110(6), 391-398. https://doi.org/10.1136/heartjnl-2023-322641
Shang, Y., Nasr, P., Widman, L., & Hagström, H. (2022). Risk of cardiovascular disease and loss in life expectancy in NAFLD. Hepatology, 76(5), 1495-1505. https://doi.org/10.1002/hep.32519
Sloshower, J., Guss, J., Krause, R., Wallace, R. M., Williams, M. T., Reed, S., & Skinta, M. D. (2020). Psilocybin-assisted therapy of major depressive disorder using acceptance and commitment therapy as a therapeutic frame. Journal of Contextual Behavioral Science, 15, 12-19. https://doi.org/10.1016/j.jcbs.2019.11.002
Tian, Q., Chen, S., Zhang, J., Li, C., Wu, S., Wang, Y., & Wang, Y. (2023). Ideal cardiovascular health metrics and life expectancy free of cardiovascular diseases: a prospective cohort study. EPMA Journal, 14(2), 185-199. https://doi.org/10.1007/s13167-023-00322-8
Türen, S., Çetinkaya Işık, F., & Türen, S. (2024). The Effect of Cardiac Rehabilitation Program on Quality of Life, Biophysiological Parameters, and Psychological Features in Patients with Cardiovascular Disease. Turkish Journal of Cardiovascular Nursing, 15(36), 25-32. https://khd.tkd.org.tr/jvi.aspx?pdir=kvhd&plng=eng&un=KVHD-18480&look4=
Wang, X., Ma, H., Li, X., Heianza, Y., Manson, J. E., Franco, O. H., & Qi, L. (2023). Association of cardiovascular health with life expectancy free of cardiovascular disease, diabetes, cancer, and dementia in UK adults. JAMA Internal Medicine, 183(4), 340-349. https://doi.org/10.1001/jamainternmed.2023.0015
Wersebe, H., Lieb, R., Meyer, A. H., Hofer, P., & Gloster, A. T. (2018). The link between stress, well-being, and psychological flexibility during an Acceptance and Commitment Therapy self-help intervention. International journal of clinical and health psychology, 18(1), 60-68. https://doi.org/10.1016/j.ijchp.2017.09.002
Xie, Q., Nie, M., Zhang, F., Shao, X., Wang, J., Song, J., & Wang, Y. (2024). An unexpected interaction between diabetes and cardiovascular diseases on cognitive function: A cross-sectional study. Journal of Affective Disorders, 354, 688-693. https://doi.org/10.1016/j.jad.2024.03.040
Zheng, J., Ni, C., Lee, S. R., Li, F. R., Huang, J., Zhou, R., Huang, Y., Lip, G. Y., Wu, X., & Tang, S. (2024). Association of hospital‐treated infectious diseases and infection burden with cardiovascular diseases and life expectancy. Journal of Internal Medicine. https://doi.org/10.1111/joim.13780
Copyright (c) 2024 International Journal of Body, Mind and Culture
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
